@layout("/common/_container.html",{js:["/assets/third/thirdManagementStatistics/thirdManagementStatistics_edit.js"]}){
<style>
	.layui-form-item {
    	margin-bottom: 2px;
	}
	.layui-badge-rim, .layui-colla-content, .layui-colla-item, .layui-collapse, .layui-elem-field, .layui-form-pane .layui-form-item[pane], .layui-form-pane .layui-form-label, .layui-input, .layui-layedit, .layui-layedit-tool, .layui-quote-nm, .layui-select, .layui-tab-bar, .layui-tab-card, .layui-tab-title, .layui-tab-title .layui-this:after, .layui-textarea {
    	border-color: #89d19d;
    }
</style>
<div class="layui-body-header">
    <span class="layui-body-header-title">修改</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="thirdManagementStatisticsForm" lay-filter="thirdManagementStatisticsForm" class="layui-form layui-form-pane" style="max-width: 1100px;margin: 10px auto;">
                <input name="id" type="hidden"/>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>录入运输信息</legend>
			  	</fieldset>
                  <div class="layui-form-item">
				    <div class="layui-inline">
				      <label class="layui-form-label">日期<span style="color: red;">*</span></label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="dates" name="dates" placeholder="请输入日期" type="text" class="layui-input" lay-verify="required" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">货主</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="v1" name="v1" placeholder="请输入货主" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">结账周期</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="zhouqi" name="zhouqi" placeholder="请输入结账周期" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
                  <div class="layui-form-item">
				    <div class="layui-inline">
				      <label class="layui-form-label">起点</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="startings" name="startings" placeholder="请输入起点" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">终点</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="ends" name="ends" placeholder="请输入终点" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">货物名称</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="goodsName" name="goodsName" placeholder="请输入货物名称" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
                  <div class="layui-form-item">
				    <div class="layui-inline">
				      <label class="layui-form-label">总运费</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="freight" name="freight" placeholder="请输入总运费" type="number" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">付运费</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="fuMoney" name="fuMoney" placeholder="请输入付运费" type="number" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">信息费</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="informationFee" name="informationFee" placeholder="请输入信息费" type="number" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
                  <div class="layui-form-item">
				    <div class="layui-inline">
				      <label class="layui-form-label">外调车运费</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="waiMoney" name="waiMoney" placeholder="请输入外调车运费" type="number" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
				      <label class="layui-form-label">盈利</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="profit" name="profit" placeholder="请输入盈利" type="number" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>录入车辆信息</legend>
			  	</fieldset>
                  <div class="layui-form-item">
				    <div class="layui-inline">
                      <label class="layui-form-label">车牌号<span style="color: red;">*</span></label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="carNumber" name="carNumber" placeholder="请输入车牌号" type="text" class="layui-input" lay-verify="required" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
                    	<label class="layui-form-label">车主</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="v2" name="v2" placeholder="请输入车主" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
                    	<label class="layui-form-label">车型</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="carMode" name="carMode" placeholder="请输入车型" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
                  <div class="layui-form-item">
				    <div class="layui-inline">
                    	<label class="layui-form-label">司机</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="driver" name="driver" placeholder="请输入司机" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
                    	<label class="layui-form-label">联系方式</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="tel" name="tel" placeholder="请输入联系方式" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				    </div>
				  </div>
				  <div class="layui-form-item layui-form-text">
				    <label class="layui-form-label">备注</label>
				    <div class="layui-input-block">
				      <textarea placeholder="请输入内容" class="layui-textarea" id="remarks" name="remarks"></textarea>
				    </div>
				  </div>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>修改状态</legend>
			  	</fieldset>
                  <div class="layui-form-item">
				    <div class="layui-inline">
                    	<label class="layui-form-label">付款日期</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="v3" name="v3" placeholder="请选择付款日期" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
                    	<label class="layui-form-label">结算方式</label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <input id="v4" name="v4" placeholder="请输入结算方式" type="text" class="layui-input" lay-verify="" required/>
				      </div>
				      <div class="layui-form-mid">    </div>
                    	<label class="layui-form-label">状态<span style="color: red;">*</span></label>
				      <div class="layui-input-inline" style="width: 200px;">
                        <select id="status" name="status" lay-filter="status" lay-verify="required" required>
                            <option value="未付">未付</option>
                            <option value="已付">已付</option>
                        </select>
				      </div>
				    </div>
				  </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}